| Name Of the Firm : | ASHIRBAD MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | BUS STAND MARKET COMPLEX, ROOM NO-8 , KUCHINDA, SAMBALPUR |
| RP Name : | REETANJALI PATEL |
| Registration Number : | 12946 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | PURNENDU KU MOHANTY |
| R : | 1571 |
| RC : | 1572 |
| RX : | 1573 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/17/2009 |
| Date of Expiry : | 7/16/2014 |
| Remarks : |